Healthcare Provider Details

I. General information

NPI: 1518680412
Provider Name (Legal Business Name): SARDIS DUANY CAISES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 E GREENWAY RD STE 6
PHOENIX AZ
85032-4509
US

IV. Provider business mailing address

3130 E BASELINE RD STE 103
MESA AZ
85204-7290
US

V. Phone/Fax

Practice location:
  • Phone: 602-867-1252
  • Fax: 480-605-2290
Mailing address:
  • Phone: 480-539-7618
  • Fax: 480-900-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number287023
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number287023
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number287023
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: